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Is St. John's Wort Safe with Valsartan?

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Valsartan St. John's Wort
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Mention supplement use to your care team. Valsartan is largely eliminated unchanged; clinically meaningful interaction is unlikely but not fully excluded.

Why this interaction occurs

Valsartan is minimally CYP-metabolized (largely eliminated unchanged; OATP substrate). St. John's Wort is not expected to meaningfully alter valsartan levels via CYP induction. Phenoconversion risk is minimal for this pair.

Evidence

Evidence level: strong.

Data source

FDA valsartan labeling; OATP/CYP substrate literature

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 76,610 reports mentioning Valsartan. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Valsartan + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take St. John's Wort with Valsartan?
Mention supplement use to your care team. Valsartan is largely eliminated unchanged; clinically meaningful interaction is unlikely but not fully excluded.

Related interactions

All St. John's Wort interactions →  ·  All Valsartan interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.